Divergence Mental Health Group Llc
LBN: Divergence Mental Health Group Llc
Divergence Mental Health Group Llc is an health care organization with primary practice located at 4420 Lyndenwood Cir , Highlands Ranch CO 80130-8807. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Divergence Mental Health Group Llc can be contacted via phone (720) 310-8786, or through Edwardson, Ashley Lynn via phone (847) 894-7288.
Contact Information
Primary practice address
4420 Lyndenwood Cir
Highlands Ranch CO 80130-8807
Phone: (720) 310-8786
Fax:
Website:
Authorized official contact:
Name: Edwardson, Ashley Lynn Licensed Professional Counselor (LPC)
Phone: (847) 894-7288
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1043929243 |
|---|---|
| LBN Legal business name | Divergence Mental Health Group Llc |
| DBA Doing business as | |
| Authorized official | Edwardson, Ashley Lynn Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2022 |
| Last updated | Feb 25th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043929243 | NPPES |
| Colorado | MEDICAID | 90000201368 |
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